Utilization Management Coordinator / BWMC (evening shift)

UM Baltimore Washington Medical Center is currently seeking a Utilization Management Coordinator to work within our Emergancy Department and Observation Units

This is an Evening shift position with flexibile hours (3-11p or 2-10p. etc)

Job Summary:Using the established guidelines for Utilization Review, the Utilization Management Coordinator collaborates with members of the hospital team, the insurance provider, and regulatory agencies to assure compliance with regulatory and reimbursement requirements. The position is goal-oriented with a high level of accountability correlated to maximizing reimbursement and minimizing denials.|

What You Need to Be Successful:

| Education:

Graduation from an accredited nursing education program approved by the Board of Nursing or found to be substantially equivalent to the programs in Maryland.

Currently licensed as a Registered Nurse in the State of Maryland required, BSN preferred.

Experience:

Three (3) years of relevant clinical experience required.

Ongoing education, certification, and self development to remain current with industry standards and business objectives related to hospital utilization and case management.

We are an Equal Opportunity/Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to sex, gender identity, sexual orientation, race, color, religion, national origin, disability, protected veteran status, age, or any other characteristic protected by law.